Diabetic Nephropathy Essay Assignment Paper
Question
CS-Patient 2– A 45 year old man is being seen because he has been experiencing vision changes, a burning sensation in his feet, and decreasing amounts of urine when he uses the bathroom. He has a long-standing history of hypertension and hyperlipidemia. Your physical assessment reveals retinal hemorrhages in both eyes, and decreased sensation to moderate touch in the soles of his feet. A spot urinalysis shows microalbuminuria and a stat Basic Metabolic Profile (BMP) shows decreased Glomerular Filtration Rate (GFR).
a. Present your initial diagnosis.
b. Describe the pathophysiologic processes related to your diagnosis that explain the signs/symptoms, and lab results obtained.
c. State the effect of his symptoms on his life expectancy and the rationale for your answer. Diabetic Nephropathy Essay Assignment Paper
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Step 1/3
a. Based on the presented symptoms, lab results, and physical assessments, the initial diagnosis for the 45-year-old man is Diabetic Nephropathy.
Explanation:
In these case following findings are suggestive of diabetic nephropathy ➡️•History of hypertension and hyperlipidemia,• Retinal hemorrhages ,•Decrease sensory sensation of nerve,• Decrease GFR and urine output and microalbuminuria.
Step 2/3
b. Diabetic nephropathy is a long-term complication of diabetes mellitus that affects the glomerular filtration rate of the kidneys, causing proteinuria, kidney damage, and ultimately renal failure. Damage to the kidney’s blood arteries from hyperglycemia results in malfunction and a loss of structure and function.
Mesangial enlargement, interstitial fibrosis, and arterial hyalinosis are all exacerbated by the buildup of interglomerular pressure. Retinal hemorrhages may occur as a result of injury to the tiny blood veins feeding the retina of the eyes.
The sensation of diminished sensation, which is frequently described as a burning sensation, might result from the nerve supply to the foot declining.
Due to the kidneys’ failure to filter waste from the blood, there is a decrease in urine volume during urination, which is caused by decreased kidney function.
Microalbuminuria in the spot urinalysis indicates that the renal glomeruli have already been damaged.
Explanation:
Diabetic nephropathy is a long-term complication of diabetes mellitus that affects the glomerular filtration rate of the kidneys, causing proteinuria, kidney damage, and ultimately renal failure. Mesangial enlargement, interstitial fibrosis, and arterial hyalinosis are all exacerbated by the buildup of interglomerular pressure.
Step 3/3
c. End-stage renal failure is the result of diabetic nephropathy, a disease that worsens over time.
Due to the requirement for ongoing dialysis or kidney transplantation, this disorder drastically reduces the affected person’s life expectancy.
The 45-year-old man’s hypertension and hyperlipidemia indicate that he may have additional medical conditions that could shorten his life expectancy and make Diabetic Nephropathy worse.
Yet, the progression of this disease can be reduced with early identification and the best management.
A better prognosis for the patient depends on early intervention and control of the underlying hypertension, hyperlipidemia, and diabetes mellitus.
Explanation:
Diabetic nephropathy can be reduced with early intervention and control of underlying hypertension, hyperlipidemia, and diabetes mellitus.
Final answer
Diabetic Nephropathy is a chronic complication of Diabetes Mellitus that affects the kidneys’ glomerular filtration rate, leading to proteinuria, kidney damage, and eventually renal failure.
Hyperglycemia causes damage to the blood vessels that supply the kidneys, leading to dysfunction and loss of structure and function.
Microalbuminuria in the spot urinalysis is indicative of early damage to the renal glomeruli. This condition significantly shortens the life expectancy of the affected individual due to the need for continuous dialysis or kidney transplantation. Early intervention and management of the underlying Diabetes Mellitus, hypertension, and hyperlipidemia are crucial to a better prognosis for the patient. Diabetic Nephropathy Essay Assignment Paper